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Underground Storage Tank <br />Monitoring System Certification Form <br />16. SENSOR TESTING RESULTS <br />List only sensors tested on date of this certification. List "Sensor ID" as labeled in system <br />programming. Additional copies of this page may be attached to accommodate all sensors tested. <br />Sensor lD <br />Sensor Model Component(s) Monitored <br />Pass <br />Fail <br />s22 <br />330020-463 / 330020-464 <br />PREMIUM PROD VAC <br />✓F <br />s23 <br />330020-463 / 330020-464 <br />PREMIUM VENT VAC <br />[91 <br />i� <br />s24 <br />330020-463 / 330020-464 <br />GAS ADDI. PROD VAC <br />[71 <br />FF- <br />s25 <br />330020-463 / 330020-464 <br />GAS ADDI. VENT VAC <br />[PI <br />FFI <br />s28 <br />330020-463 / 330020-464 <br />91 REMOTE FILL VAC <br />[ <br />[M <br />FIFI <br />o <br />a <br />o <br />a <br />Irl <br />❑ <br />o <br />❑ <br />a <br />a <br />a <br />❑ <br />a <br />o <br />El <br />I FF -1 <br />0 <br />0 <br />El <br />FIr <br />[71 <br />�� <br />Describe all answers marked "No" or "Fail" and proposed remedy in Section 9. <br />List all monitoring equipment either replaced or repaired in Section 9 <br />Page 3of6 <br />